Individual
DR. ASHLEY G BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
27220
OK
208000000X
Pediatrics Physician
Primary
A121634
CA
208000000X
Pediatrics Physician
MD11684
HI
208000000X
Pediatrics Physician
ME113308
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003125369A
—
GA
05
—
005830200
—
FL
01
—
14KY4
BLUECROSS BLUE SHIELD OF FLORIDA
FL
Enumeration date
06/25/2009
Last updated
03/02/2015
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